Provider Demographics
NPI:1215604632
Name:HIGHTOWER, DARREN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:
Last Name:HIGHTOWER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W WILSHIRE BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7003
Mailing Address - Country:US
Mailing Address - Phone:918-638-1736
Mailing Address - Fax:
Practice Address - Street 1:1000 W WILSHIRE BLVD STE 401
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7003
Practice Address - Country:US
Practice Address - Phone:918-638-1736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist